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ESI Staff Nurse model Question & Answers papers SOLVED PAPER OF STAFF NURSE IN HEALTH SERVICES DEPT: 1. The most common pathogenic mechanism of acute pancreatitis is – Auto digestion of the pancreas. 2. What does the nurse monitors for, in a patient with Acute Renal Failure? Pulmonary edema and ECG changes. 3. A disease caused by Treponema pallidum is – Syphilis. 4. Which of the following is an important nursing intervention for a patient with Cushing Syndrome? (a) Left Middle Cerebral Artery (b) Observe for hypotension (c) Protect from infection (d) Restrict carbohydrate intake. Ans: Protect from infection. 5. Involvement of which of the following structures will lead to right-sided hemiplegia and aphasia? (a) Left Middle Cerebral Artery (b) Vertebral Artery (c) Brain stem (d)Right Middle Cerebral Artery. Ans: Left Middle Cerebral Artery 6. Which one of the following is a common response expected in a patient with stroke, to the change in body image? (a)Denial (b) Dis association (c) Delusion (d) Depression. Ans: Depression. 7. A patient with early osteoporosis must be advised toStop smoking 8. For doing nasotracheal suctioning, during which of the following patient activities, the catheter should be inserted? (a)Swallowing (b) Inhaling (c) Exhaling (d) Retching Ans: Inhaling 9. The simple most effective method for reducing the risks of stasis of pulmonary secretions isTwo hourly position change. 10. What is cyanosis? Blue discoloration of skin. 11. The period from conception to birth is denoted as – Prenatal 12. Role of nursing is “having charge of somebody’s health” Whose vision is this? Florence Nightingale 13. Which of the following developmental stage corresponds to infancy? (A) Trust Vs Mistrust (b) Autonomy Vs Shame (c) Initiative Vs Guilt (d) Industry Vs Inferiority. Ans: Trust Vs Mistrust 14. Who proposed the nursing theory of self-care deficit? Dorothea orem 15. The head circumference of a normal infant is – 33-35 cm 16. The leading cause of death in adolescence is – Accidents 17. The legal definition of ‘death’ that facilitates organ donation is, cessation of – Function of brain 18. The body temperature at which tissues and cells can best function is – 36-38o C 19. Men have a higher Basal Metabolic Rate because, their body contains moreTestosterone 20. The mechanism by which body loses heat to the environment, without having direct contact is --? Radiation 21. Which of the following structures controls heat loss? (a) Anterior pituitary (b) Posterior pituitary (c) Posterior hypothalamus (d) Anterior hypothalamus 22. Exposure of the body to subnormal temperature can lead to … Frost-bite 23. What is the effect of an antipyretic? Reduce fever 24. The volume of blood pumped by the heart during one minute is called…. Cardiac output 25. What is the normal pulse rate of an infant? 120-160 26. The phase of respiration in which gases move in and out of the lungs is …. Ventilation 27. What is the normal partial pressure of carbon dioxide in arterial blood? (mm Hg) 35-45 28. What is the equipment that indirectly measures arterial oxygen saturation? Pulse Oximeter 29. What is the term used to denote regular, abnormally slow respirations? Bradypnea 30. What technique of assessment helps to determine ketoacidosis? Olfaction 31. Inflammation of skin at base of nail is? Paronychia 32. The condition in which both eyes do not focus on an object simultaneously is known as? Strabismus 33. The most effective way to break the chain of infection is by? Hand hygiene 34. How many drops in a standard drip set makes one ml.? 15 35. The prescription orders 0.125 mg digoxin orally. Tablets containing 0.25 mg is available. How many tablets will you administer? 1/2 36. A patient who is receiving intravenous fluids develops tenderness, warmth, erythema and pain at the infusion site. Which of the following conditions will you suspect? (a) Sepsis (b) Infiltration (c) Fluid overload (d) Phlebitis Phlebitis 37. When providing oral hygiene to an unconscious patient, care must be taken to prevent? Aspiration 38. What is the intrinsic rate of the normal A-V node? 40-60 per minute 39. Which of the following structures is the pacemaker of the heart? (a) S-A node (b) Septum (c) A-V node (d) Bundle of His Ans: S-A node 40. The prescription is for two tablespoons of milk of magnesia. How many ml. will you give? 30 ml 41. Which of the following is intravascular fluid? (a) Lymph (b) Pleural fluid (c) Plasma (d) Synovial fluid_Ans: Plasma 42. If the serum potassium level is less than normal, the condition is known as – Hypokalemia 43. What electrolyte abnormality is likely to develop in a patient with vomiting? Hypokalemia 44. How much sodium is normally present in the extra cellular fluid? (in MEq/L). 135-145 45. What is the primary cause of hyperkalemia? Renal failure 46. Which of the following is an isotonic solution? (a)Lactated Ringers (b) Half –Normal Saline (c) One-third Normal Saline (d) Mannitol Ans: Lactated Ringers 47. Thousand ml. of Normal Saline is to be infused in 8 hours. What should be the rate of flow per minute? 30 drops 48. A patient admitted with vomiting, has the following arterial blood gas levels-pH 7.30; PaCO2 36 mm Hg; Pa O2 92mm Hg; and HCO3 18; what is the acid-base imbalance that is present? Metabolic acidosis 49. Which of the following is a first-line drug used for pain management? (a)Acetaminophen (b) Clonidine (c) Morphine (d) Ketamine Ans: Acetaminophen 50. Which of the following is the organism that causes peptic ulcer disease? (a) Staphylococcus (b) Coryne bacterium (c) Helicobacter pylori (d) Streptococcus. Ans: Helicobacter pylori 51. Which of the following nutrients helps for tissue repair? (a)Vitamin (b) Fat (c) Carbohydrate (d) Protein Ans: Protein 52. Microscopic examination of urine reveals elevated levels of red blood cells. What does it indicate? Damage to Glomeruli. 53. Which of the following patient activities helps to relax the external anal sphincter, while administering enema? (a)Separating the buttocks (b) Lubricating the catheter tip (c)Inserting the catheter slowly (d) Breathing out through the mouth. Ans: Breathing out through the mouth. 54. What length of the catheter tip should be inserted into the rectum, for giving enema to an adult patient? 7.5-10 cm 55. The stool discharged from an ostomy is called? Effluent 56. Which of the following is the best method to confirm placement of the nasogastric tube: (a) Checking patient’s ability to talk (b) Aspiration of intestinal content (c) Introducing air and auscultating (d) X-ray of chest and abdomen Ans: X-ray of chest and abdomen 57. Which of the following is a common cause of orthostatic hypotension in a bedridden Patient? (a)Increased autonomic response (b) Decreased circulating blood volume (c) Increased cardiac output (d) Decreased blood pooling_Ans: Decreased circulating blood volume. 58. Which of the following body parts has a condyloid joint? (a) Shoulder (b) Elbow (c) Wrist (d) Forearm Ans: Wrist 59. Who was the first president of the International Council of Nurses? Fenwick 60. Which of the following minerals should be taken by a child suffering from rickets? (a)Potassium (b) Calcium (c) Sodium (d) Iron Ans: Calcium 61. Who introduced antiseptic spray during surgery? Joseph Lister 62. A large infection made up of several boils is known as : Carbuncle 63. Which of the following drugs will be administered to treat anaphylaxis? (a) Atropine (b) Sodium bicarbonate (c) Digoxin (d) Epinephrine Ans: Epinephrine 64. Which of the following is a vesicant drug? (a)Dactinomycin (b) Morphine (c) Azithrocin (d) Voveran Ans: Dactinomycin 65. Pain caused by damage to somatic tissue is known as – Nociceptive 66. Which of the following immunoglobulin are responsible for anaphylactic reactions? (a) IgA (b) IgE (c) IgM (d) IgG Ans: IgE 67. The separation and disruption of previously joined wound edges is termed as? Dehiscence 68. What types of dressing is Duoderm? Hydrocolloid. 69. The role of the complement system in opsonization affects which response of the inflammatory process? Cellular. 70. Contractures frequently occur after burn healing because of ….? Excess fibrous tissue formation. 71. Association between HLA antigens and diseases is most commonly found in what disease conditions? Autoimmune diseases. 72. What is the most common cause of secondary immunodeficiencies? Drugs 73. If a person is having an acute rejection of a transplanted organ, which of the following drugs would most likely to be used? (a)Tacrolimus (b) Cyclosporine (c) Cellcept (d) Daclizumab. Ans: Daclizumab. 74. The primary difference between benign and malignant neoplasm is the …. Characteristic of tissue invasiveness. 75. If the blood plasma has a higher osmolality than the fluid within a red blood cell, the mechanism involved in equalizing the fluid concentration is? Osmosis. 76. Which of the following symptoms should be watched for in a patient receiving a loop diuretic? (a)Restlessness and agitation (b) Paresthesias. (c)Increased blood pressure (d)Weak irregular pulse. Ans: Weak irregular pulse. 77. Which of the following should be watched for in a patient who has just undergone a total thyroidectomy? (a)Weight gain (b) Depressed reflexes (c) Positive chvostek sign (d) Personality changes. Ans: Positive chvostek sign 78. Which of the following surgical procedures involves removal of a body organ? (a) Tracheostomy (b) Laparotomy (c) Mammoplasty (d) Mastectomy. Ans: Mastectomy. 79. The cause of arcus senilis is? Cholesterol deposits. 80. What is the cause of presbyopia? Inflexible lens. 81. The most appropriate technique to assess skin for temperature and moisture is …. Palpation 82. Complete absence of melanin pigment in patchy areas on a patient’s hand is described as ….. Vitiligo 83. What instruction will you give to a patient after a chemical peel? Avoid sun exposure 84. Childhood atopic dermatitis is commonly seen in which body area? Antecubital space. 85. Which of the following parameters is commonly used to assess adequacy of fluid replacement in a patient with burns? Urine output. 86. Which of the following is an earliest manifestation of inadequate oxygenation? (a) Diaphoresis (b) Cyanosis (c) Restlessness (d) Hypotension Ans: Restlessness 87. A diagnostic procedure which involves removal of pleural fluid for analysis is : Thoracentesis. 88. Which of the following helps to identify flail chest in a patient with chest trauma: (a)Multiple rib fractures seen in X-ray. (b)Decreased movement of chest wall (c)Tracheal deviation (d) Paradoxic chest movement during respiration. Ans: Paradoxic chest movement during respiration. 89. Which of the following is an intervention for a patient with chronic obstructive pulmonary disease? (a) Pursed-lip breathing (b) Chronic steroid therapy (c) High flow oxygen (d)High Carbohydrate diet Ans: Pursed-lip breathing 90. Which of the following is a normal finding obtained during a lymph node palpation? (a) Hard, fixed node (b) Firm, mobile node (c) Enlarged tender nodes (d)Hard, nontender nodes Ans: Firm, mobile node 91. Which is the most common type of leukemia seen in older adults? Chronic lymphocytic. 92. The blood vessel that brings blood to the right atrium is …. Inferior Venae Cavae 93. Which of the following conditions is caused by elevated intra ocular pressure? (a)Glaucoma (b) Cataract (c) Strabismus (d) Myopia. Ans: Glaucoma. 94. Which of the following is the most common pathologic finding in individuals at risk for sudden cardiac death? (a)Aortic valve disease (b) Mitral valve disease (c) Left ventricular dysfunction (d) Atherosclerotic heart disease Ans: Atherosclerotic heart disease 95. Which of the following is an absolute contraindication for the use of fibrinolytic therapy? (a) Current use of anticoagulants (b) Severe liver disease (c) Suspected aortic dissection (d) Active peptic ulcer disease Ans: Suspected aortic dissection 96. Which of the following drugs provide relief of anxiety and decreases both preload and after load? (a) Amrinone (b) Morphine sulphate (c) Furosemide (d)Dobutamine Ans: Morphine sulphate 97. In a normal sinus rhythm, the measurement of an S.T.segment is …..? 0.12 seconds 98. The ECG monitor of a patient admitted with myocardial infarction shows ventricular bigeminy. What is the nurse’s responsibility in this situation? Assess the patient’s response 99. What is the usual treatment of Rayanaud’s Phenomenon? Calcium Channel blockers. 100. A patient is admitted with a diagnosis of diarrhea with dehydration. What could be the cause of increased peristalsis resulting in diarrhea? Parasympathetic stimulation. Staff Nurse Exam RRB Biology Objective Solved Questions Staff Nurse Exam RRB Biology Objective Solved Questions RRB exam for staff nurses Free Online model question paper 1. Earth originated in the past (a) 4.6 billion years (b) 1.6 billion years (c) 7.6 billion years (d) 86 billion years Ans. (a) 2. The scientist related with the theory of spontaneous generation and experiments with swan-necked flasks is (a) Van Helmont (b) Louis Pasteur (c) Miller (d) Haeckel Ans. (b) 3. External protective tissues of plants are (a) Cortex and epidermis (b) Pericycle and cortex (c) Epidermis and cork (d) Pericycle and cork Ans. (c) 4. Bulliform cells are4esent (a) In upper epidermis of dicot leaves (b) In lower epidermis of monocot leaves (c) In upper epidermis of monocot leaves (d) In dicot stem Ans. (c) 5. Who said that organism develop from pre-existing organism? (a) Aristotle (b) Louis Pasteur (c) Morgan (d) Oparin Ans. (b) 6. Which of the following gases was not present in free form at the time life originated on the earth? (a) Methane (b) Hydrogen (c) Ammonia (d) Oxygen Ans. (d) 7. The simple organic compounds that may have first evolved in the direction of origin of life on Earth may have been (a) Protein and amino acid (b) Protein and nucleic acid (c) Urea and nucleic acid (d) Urea and amino acid Ans. (b) 8. STANLEY MILLER conducted an experiment to demonstrate that simple organic molecules like acids could be produced if an electric discharge is passed through a mixture of such gases as might have been present in the atmosphere of early earth. The gaseous mixture he used in the experiment comprised (a) Methane, ammonia, hydrogen, water vapours (b) Methane, nitrogen, hydrogen, water vapours (c) Ammonia, carbon dioxide, nitrogen, water vapours (d) Methane, ammonia, nitrogen, water vapours Ans. (a) 9. The first genetic material was most likely (a) a DNA polymer (b) a DNA oligonucleotide (c) a protein (d) an RNA polymer Ans. (d) 10. Study of fossils is known as (a) Palaeobotany (b) Palaeontology (c) Anatomy (d) Ornithology Ans. (b) 11. The youngest layer of secondaryh1oem in woody dicot stem is located (a) Just outside the vascular cambium (b) Just on the inner side of cambium (c) Between periderm and primary cortex (d) Just outside pith Ans. (a) 12. The wall of cork cells is mostly impregnated with (a) Cutin (b) Suberin (c) Lignin (d) Hemicellulose Ans. (b) 13. Cork cells are (a) Photosynthetic (b) Elongated and participate in movement (c) Meristematic (d) Dead Ans. (d) 14. Dendrochronology is the study of (a) Height of a tree (b) Age of a tree by counting the number of annual rings in the main stem (c) Diameter of a tree (d) Age of tree by counting the number of leaves in the main stem Ans. (b) 15. The best method to determine the age of tree is (a) To measure its diameter (b) To count the number of leaves (c) To count the number of annual rings in the main stem at the base (d) To measure its height Ans. (c) 16. If the sign was nailed to the side of a tree 5’ above the ground in 1997 how high would the sign be in 2007 if the tree grew 4” taller each year? (a) 5’ high (b) 8’ high (c) 4’ 8” (d) 9’4” Ans. (a) 17. Famous palaeobotanist of India was (a) P. Maheshwari (b) S.R. Kashyap (c) B.P. Pal (d) B. Sahni Ans. (d) 18. Which types of tissue form the thin surface for the gas exchange in the lungs? (a) Epithelial (b) Connective (c) Nervous (d) Muscle Ans. (a) 19. Safranin stains which element of the tissues? (a) Starch elements (b) Lignified elements (c) Bast (d) Protein elements Ans. (b) 20. Which were dominant in Mesozoic? (a) Dinosaurs (b) Gymnosperms (c) Fishes (d) Mammals Ans. (a) 21. Endothelium of the inner surface of blood vessels in vertebrates is (a) Simple squamous epithelium (b) Columnar epithelium (c) Cuboidal epithelium (d) Ciliated cells Ans. (a) 22. The epithelium best adapted for a body surface subject to abrasion is (a) Simple squamous (b) stratified squamous (c) stratified columnar (d) Simple cuboidal Ans. (b) 23. The “Golden age of Reptiles” was (a) Late Paleozoic (b) Cenozoic (c) Mesozoic (d) Proterozoic Ans. (c) 24. In man thickest skin is found in• (a) Palm (b) Thigh (c) Sole (d) Thumb Ans. (c) 25. The fossil remains of Archaeopteryx is a connecting link between (a) Amphibians (b) Reptiles and birds (c) Fish and amphibians (d) Reptiles and mammals Ans. (a) ESIC staff nurse entrance exam model question paper : Biology ESIC staff nurse entrance exam model question paper :Biology Nursing Aptitude Test Free Sample Questions 1. Which of the following set is the evidence of evolution? (a) Homologous and vestigial organs (b) Analogous and vestigial organs (c) Homologous and analogous organs (d) All of the above Ans. (a) 2. Of the following anatomical structures, which is homologous to the wing of a bat? (a) The arm of a human (b) The wing of a butterfly (c) The tail of a fish (d) The dorsal fin of a shark Ans. (a) 3. Which one of the following sets of structures includes only analogous organs? (a) Wings of butterfly, housefly and bat (b) Hind legs of horse (c) Hands of man, monkey and kangaroo (d) Mandibles of cockroach, mosquito and honeybee Ans. (a) 4. Which of the following set represents all vestigial structures in the human body? (a) Vermiform appendix, body hair and cochlea (b) Wisdom teeth, coccyx and patella (c) Coccyx, vermiform appendix and muscles of ear pinna (d) Body hair, muscles of ear pinna and atlas vertebra Ans. (c) 5. The earliest animal to have been domesticated by man most likely the (a) Horse (b) Pig (c) Dog (d) Cow Ans. (c) 6. Presence of gill slits in the embryo of all vertebrates supports the theory of (a) Organic evolution (b) Recapitulation (c) Metamorphosis (d) Biogenesis Ans. (b) 7. Appearance of ancestral characters in the new borne, such as tail, multiple mammae, etc., are known as (a) Homologous (b) Analogous (c) Atavistic (d) Vestigial Ans. (c) 8. Evolution is defined as (a) History of race (b) Development of race (c) History and development of race with variations (d) Progressive history of race Ans. (c) 9. The book named “Philosophic zoologique” was published in 1809 and was written by: (a) Mendel (b) Darwin (c) De Vries (d) Lamarck Ans. (d) 10. Penguin is a bird that lost the use of its wings by not flying. Such a statement would express the views of (a) Darwin (b) Wallace (c) Lamarck (d) Huxley Ans. (c) 11. A scientist kept 80 generations of Drosophila in darkness, even after that the flies had normal eyes. This disapproves law of (a) Natural selection (b) Acquired characters (c) Use and disuse (d) Synthetic theory Ans. (b) 12. Weismann cut off tails of mice generation after generation but tails neither disappeared nor shortened showing that (a) Darwin was correct (b) Tail is an essential organ (c) Mutation theory is wrong (d) Lamarckism was wrong in inheritance of acquired characters Ans. (d) 13. What did CHARLES DARWIN publish in 1859? (a) Origin of Species by Natural selection (b) Species plantarum (c) Philosophie Zoologique (d) De Naturien Familien Ans. (a) 14. The book ‘Descent of Man and Selection in Relation to Sex’ was written by: (a) Charles Darwin (b) J.B. Lamarck and C. Darwin (c) F.B. Sumner and E. Darwin (d) Robert Brown Ans. (a) 15. Darwin worked on Galapagos finches. The number of species of these finches is (a) 10 (b) 12 (c) 14 (d) 11 Ans. (c) 16. Which one of the following evolutionists proposed the theory of evolution similar to Charles Darwin’s? (a) Alfred Russell Wallace (b) Erasmus Darwin (c) Thomas Godfrey (d) Thomas Robert Malthus Ans. (a) 17. The ultimate source of organic variation is (a) natural selection (b) sexual reproduction (c) hormonal action (d) mutations Ans. (d) 18. World environment day is (a) 5th June (b) 28th February (c) 5th August (d) 28th April Ans. (a) 19. Tendon connects (a) Cartilage with muscles (b) Bone with muscles (c) Ligament with muscles (d) Bone with bone Ans. (b) 20. Sewage infection of water will be demonstrated by cysts of (a) Entamoeba (b) Escherichia coli (c) Pseudomonas (d) Leishmania Ans. (a) 21. Which type of tissue forms glands? (a) Epithelial (b) Connective (c) Nervous (d) Muscle Ans. (a) 22. Eutrophication leads to death of fish due to (a) Increased O2 content (b) increased algae content (c) decreased algae content (d) Decreased O2 content Ans. (d) 23. Sebaceous glands are found in (a) Dermis of skin of mammals (b) Epithelium of stomach of frog (c) Epithelium of intestine of frog (d) Epidermis of skin of mammals Ans. (a) 24. Minamata disease is a pollution-related disease, which results from (a) Release of human organic waste into drinking water (b) Accumulation of arsenic into atmosphere (c) Release of industrial waste mercury into fishing water (d) Oil spills into sea Ans. (c) 25. Which type of tissue forms the framework of the external ear? (a) Epithelial (b) Connective (c) Muscle (d) Nervous Ans. (b) GENERAL SCIENCE FOR FORTHCOMMING EXAMS: PCS , UPSC, CDS ,RRB ,MBA, B.ED.,NDA ETC 1. The respiration is carried on by (A) Kidneys (B) Brain (C) Intestine (D) Lungs Ans (D) 2. Which is the outer protective cover of the body? (A) Skeleton (B) Hair (C) Skin (D) None of these Ans (C) 3. Which collects the blood from the organs? (A) Arteries (B) Veins (C) Lungs (D) Nerves Ans (B) 4. Which removes waste materials from the body? (A) Kidneys (B) Lungs (C) Heart (D) Brain Ans (A) 5. Which of the following is well developed and functional in grazing animals? (A) Appendix (B) Liver (C) Duodenum (D) Rectum Ans (A) 6. How many teeth will the children have? (A) 10 (B) 15 (C) 28 (D) 20 Ans (D) 7. What is inner lining of the alimentary canal called ? (A) oesophagus (B) Mucous membrance (C) Muscle (D) Muscular Ans (B) 8. Which of the following is not a part of the alimentary canal? (A) Mouth (B) Stomach (C) Small intestine (D) lungs Ans (D) 9. Liver and pancreas are the ________ glands. (A) blood clear (B) digestive (C) breathing (D) none of these _Ans (B) 10. _________ is a sticky substance in saliva and provides easy movement for food. (A) Insulin (B) Amylase (C) Mucin (D) none of these Ans (C) 11. Nose opens at the uuper end of _____ through a pair of internal nostrils. (A) Larnyx (B) Trachea (C) Pharnyx (D) none of these Ans (C) 12. Which of the following is a long tube and wind pipe? (A) Bronchi (B) Nasal canal (C) Pharnyx (D) Trachea Ans (D) 13. How many lungs are present in the human body? (A) 1 (B) 2 (C) 3 (D) none of these Ans (B) 14. The lungs are covered by two membrances called as _______ (A) Veins (B) Air sacs (C) pleura (D) none of these Ans (C) 15. The normal temperature of a human body is _____ (A) 98.4ºC (B) 98.4ºF (C) 99.0ºC (D) 99.0ºF Ans (B) 16. What is the temperature of boiling water? (A) 100ºC (B) 32ºC (C) 180ºF (D) 32ºF Ans (A) 17. Units which can be expressed in terms of two or more fundamental units of mass or called____ units (A) Derived (B) defined (C) undefined (D) underived _Ans (A) 18. The mean distance of sun from the earth is called (A) Astronomical units (B) Lightyear (C) Astrological units (D) Angstroms Ans (A) 19. One nano metre = (A) 10Aº (B) 11Aº (C) 12Aº (D) 10.5Aº Ans (A) 20. Which of the following is known as acqua gold (A) Sulphuric acid (B) Nitric Acid (C) Hydrochloric Acid (D) Ammonia WRONG 3 2 21. The force is the product of _____ (A) velocity and acceleration (B) the speed and acceleration (C) mass and speed (D) mass and acceleration Ans (D) 22. Root part is represented in a mature emryo by (A) plumule (B) radicle (C) chalaza (D) cotyledons Ans (B) 23. Bone deformities occur due to the excessive intake of (A) phosphorus (B) potassium (C) fatti acid (D) fluorine Ans (D) 24. Excess of fat in the body is stored in (A) Adipose tissue (B) Acrosome (C) Connective tissue (D) Bone marrow Ans (A) 25. Disease caused by HIV virus is (A) mumps (B) plague (C) AIDS (D) tuberculosis Ans (C)